Individual provider Active NPI

Michael A Kyde, LPN

  • Licensed Practical Nurse
  • Columbus, OH
National Provider Identifier
1427376995
Registry record updated Oct 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
139627 Issued in OH
Practice address
4818 Indianola Ave
Columbus, OH 43214-1823
Phone
(614) 430-3711
Fax
(614) 245-4128
NPI assigned
May 9, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 139627 OH Primary

Addresses

Primary practice location

4818 Indianola Ave
Columbus, OH 43214-1823

Mailing address

PO Box 145
New Albany, OH 43054-0145
Phone (614) 561-8344

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
139627OHMDLicensed Practical Nurse

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1273363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319673600000",
    "number": "1427376995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 145",
            "city": "NEW ALBANY",
            "state": "OH",
            "postal_code": "430540145",
            "telephone_number": "614-561-8344",
            "fax_number": "614-245-4128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4818 INDIANOLA AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432141823",
            "telephone_number": "614-430-3711",
            "fax_number": "614-245-4128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KYDE",
        "first_name": "MICHAEL",
        "middle_name": "A",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-05-09",
        "last_updated": "2011-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "139627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.